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� <br /> a <br /> 1 <br /> j , <br /> Fees to be Char ed YES NO <br /> Permit <br /> Plan Review <br /> State Surcharge (/� <br /> Investigation Fee <br /> SAC—Number of SAC Units �l./ <br /> Other(specify) �- <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 15' Floor X = $ <br /> 2nd FIoO� X = $_ <br /> Garage X = $ <br /> Estimated Construction Value: �„�� G,�i ��G � <br /> Orono inspections Required Work Requiring Separate Permits <br /> � Footing 0 Site �Plumbing 0 Grading/Filling <br /> � Poured Wall � Silt Fence/Erosion Control Mechanical 0 Fire <br /> 0 Foundation Survey � Hardcover Removal � Fireplace � Water Connection <br /> 0 Framing � Other(specify) � Masonry 0 Sewer Connection <br /> � Waterproofing/Drain tile 0 Mfg. � Lawn Irrigation <br /> � Foundation Waterproofing 0 Other(specify) � Landscaping <br /> Framing 0 Septic <br /> Insulation <br /> 0 As-Built Survey <br /> �Final <br /> 0 Lathe Required State Permits <br /> 0 Other(specify) <br /> 0 Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> 0 See Builder Acknowledgement Form <br /> 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> �' <br /> Updated: June 2017 <br /> z:\forms�plan review checklist 06-2017.docx <br />